Guido R. Toscano, MD
NPI 1215008487ActiveIndividual· Internal Medicine· Cleburne, TX
Internal Medicine (MD) with Wellmed Medical Group PA and 1 other group, practicing in Cleburne, Texas. Their prescriptions cost Medicare Part D more than their services did: $241,410 for 3,007 claims, against $3,087 paid for services in 2024. Exact Sciences Corporation reported $14.00 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1215008487 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 10, 2006 |
| Last updated in NPPES | Sep 14, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | K4276 | TX |
| Emergency Medicine | 207P00000X | K4276 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 56 across 8 procedure codes |
| Paid by Medicare | $3,087 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,007 · 7,857 30-day fills |
|---|---|
| Patients | 502 |
| Total drug cost | $241,410 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical groups
- Wellmed Medical Group PASan Antonio, TX · 646 clinicians
- Medical Clinic of North Texas, PLLCFort Worth, TX · 267 clinicians
Industry payments (Open Payments)
- 2025$14.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $14.00 | 1 |
What the 2025 payments were for
- Food and Beverage$14.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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